HIV-1 中和抗体:理解自然途径。

HIV-1 neutralizing antibodies: understanding nature's pathways.

机构信息

Vaccine Research Center, National Institute of Allergy and Infectious Diseases, NIH, Bethesda, MD, USA.

出版信息

Immunol Rev. 2013 Jul;254(1):225-44. doi: 10.1111/imr.12075.

Abstract

The development of an effective vaccine has been hindered by the enormous diversity of human immunodeficiency virus-1 (HIV-1) and its ability to escape a myriad of host immune responses. In addition, conserved vulnerable regions on the HIV-1 envelope glycoprotein are often poorly immunogenic and elicit broadly neutralizing antibody responses (BNAbs) in a minority of HIV-1-infected individuals and only after several years of infection. All of the known BNAbs demonstrate high levels of somatic mutations and often display other unusual traits, such as a long heavy chain complementarity determining region 3 (CDRH3) and autoreactivity that can be limited by host tolerance controls. Nonetheless, the demonstration that HIV-1-infected individuals can make potent BNAbs is encouraging, and recent progress in isolating such antibodies and mapping their immune pathways of development is providing new strategies for vaccination.

摘要

有效的疫苗的研发受到人类免疫缺陷病毒 1 型(HIV-1)的巨大多样性及其逃避多种宿主免疫反应的能力的阻碍。此外,HIV-1 包膜糖蛋白上的保守脆弱区域通常免疫原性差,仅在少数 HIV-1 感染者中并在感染数年之后才会引发广泛中和抗体反应(BNAbs)。所有已知的 BNAbs 都显示出高水平的体细胞突变,并且经常表现出其他不寻常的特征,例如长的重链互补决定区 3(CDRH3)和自身反应性,这些可以受到宿主耐受控制的限制。尽管如此,证明 HIV-1 感染者可以产生强效的 BNAbs 是令人鼓舞的,最近在分离这些抗体和绘制其免疫发展途径方面的进展为疫苗接种提供了新的策略。

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